Individual
TONYA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 FREDA JANE LN, BIRMINGHAM, AL 35215-7064
(205) 215-6737
Mailing address
57 FREDA JANE LN, BIRMINGHAM, AL 35215-7064
(205) 215-6737
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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